Personal Health Records
CSE
5810
Prof. Steven A. Demurjian, Sr.
Computer Science & Engineering Department
The University of Connecticut
371 Fairfield Road, Box U-255
Storrs, CT 06269-2155
steve@engr.uconn.edu
http://www.engr.uconn.edu/~steve
(860) 486 - 4818
PHR-1
Overview
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CSE
5810

What are PHRs?
 Market?
 Product?
 Status
Reviewing PHRs
 MS HealthVault
 Health Data Solutions Patient Kiosk
PHR-2
What are PHRs?
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CSE
5810
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
PHRs have emerged over the past few years to place
the control and management of health-related
information directly into the hands of patients [4]
The number of PHRs on the market today is simply
staggering; the web site myPHR.com lists a total of
100 PHRs that can be purchased (75 total) or are
freely available (25 total)
Popular alternatives available to patients include:
Google Health [5], Microsoft HealthVault [6], myPHR
[7], iHealthRecord [8] integrated with Google Health,
and WebMD [9].
PHR-3
PHR Refs
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CSE
5810
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Overview of PHRs:
http://www.nlm.nih.gov/medlineplus/personalmedicalr
ecords.html
Microsoft Health Vault: http://www.healthvault.com/
MyPHR: http://www.myphr.com/
iHealthRecord: http://www.ihealthrecord.org/
WebMD: http://www.webmd.com/phr
PHR-4
www.hcdat.com/ITSdocs/concentra%20kiosk%204.ppt
Healthcare Data Solutions
Patient Kiosk Presentation
Concentra
8.28.07
Complexity –
SELECT TABLE_NAME, COUNT(*) AS cnt
FROM
SQL_Tables_Field_DocumentationNG
GROUP BY TABLE_NAME WITH ROLLUP
2448 Tables
84959 Fields !!!
made simple – [instaLink]


instaLink – documents every field used
in Kiosk and target practice
management system.
Interface auto-generated from
requirements
Challenges in Occupational
Medicine & Urgent Care
The ah ha moment… what do people really want to
know??
Regulators
Patients
Employers
?
Board of Directors
Our boss
Doctors
Challenges in Occupational
Medicine & Urgent Care
The ah ha moment… what do people really want to
know??
Regulators
Patients
Employers
?
Board of Directors
Our boss
Doctors
Challenges in Occupational
Medicine & Urgent Care
The ah ha moment… what do people really want to
know??
Regulators
Patients
Employers
?
Board of Directors
Our boss
Doctors
Who We Are
Technology
Focused on Healthcare and our
customers success
Standards and Best Practices
Project Management & Design Success
Who We Are: Focused on Healthcare

Safety
 Efficiency
 Efficacy

Products



Patient Kiosk
Chart Tools
AZ Discharge
Who We Are: Technology Expertise

Data Driven Web Apps
 Security
 Standards Compliant

Technologies
Sql, .NET, odbc, java,
web, voip, VB,
php,html, ajax, xml,
ldap, vpn,vista, linux,
…
Who We Are: Project Management Success

National Library
of Medicine, HL7
EHR messaging
 Emergency
Physicians
Medical Group
data warehouse,
9 states, 60
hospitals,
1.2million
patients annually

Customer service
 Commitment
PatientKiosk Features

Branching
– Age, Symptoms, Sex, Site, Etc.
 Simplicity
 InstaLink to EMR
 Easy to Add Content Trees
– Patient History, Work History, Chief Complaint,
Etc.
 Secure and Full Audit Trail
 ...
PatientKiosk Features Cont…
Patient View
 Front Desk View
 Clinician View
 Billing/Insurance View
 Administrative View
 Built on MS-SQL Open Platform
 InstaLink Interface to NextGen

PatientKiosk Demo
Kiosk front desk view (use 3/30/07)
 List of dummy demo patients
 Occ Med EMR show image selection;
appointment selection

PatientKiosk Patient View





Easy Navigation
Progress Bar
Pleasing
appearance
Securely Locked
Branching by:
–
–
–
–
–


Age, ie
pediatric
Sex
Condition
Clinic Type
Dynamic
responses
Forced or
optional
completion
Optional soft
keyboard
PatientKiosk patient view, cont…

Complex answer
types
– Nested
lookups

Integrated with
NextGen lookup
tables
– Simplifies
maintenance

You control
– Order
– Public to
Clinical
Translation
PatientKiosk Front Desk View






Set Date
Clinic Location
View patient
name,
birthdate,
interview status
Access Patient
Interview
Access Clinical
Review
Access Billing
Review
PatientKiosk Clinical Review





One click
access from
NextGen
Clinical
Template
Doctor sees
all changes
Mass or
single update
Full audit trail
Approved info
push instantly
into NextGen
PatientKiosk Staff/Billing
Review





One click
NextGen or
Kiosk Front
Desk
Verify key
billing info
before it is
loaded
Mass or
single update
Full audit trail
Approved info
push instantly
into NextGen
PatientKiosk IT Administration





Elegant
Design
Self
Documenting
Interface
Custom,
public or
proprietary
content
manager
Set Order
Clinical vs.
patient text
translation
PatientKiosk IT Admin cont…

Question-Answer
Metephor
 Control
– Section, Screen,
Group,
Question,
AnswerType,
Lookup Values
– Branching,
Dependencies
– Validation
• Required,
Error
messages

Interface
– Clinical, Admin,
Billing
– Public Coding
Sets
You’ve heard the spiel. We’re not for
everyone.
Timeline
.Rollout
..Content creation
& validation
…Best Practices
….Coding
How can we help you??



Safety
Efficiency
Efficacy

Products
 Patient Kiosk
 Chart Tools
 AZ Discharge
Healthcare Data Solutions
Phil Barr
3830 Packard Suite 180
Ann Arbor MI. 48104
(734) 418-8550 www.hcdat.com
Conclusions

CSE
5095

What are PHRs?
 Market?
 Product?
 Status
Reviewing PHRs
 MS HealthVault
 Health Data Solutions Patient Kiosk
PHR-26